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Organization
WILLIAM A. DELP,JR. DO,PC
Active
Organization
WILLIAM A. DELP,JR. DO,PC
Active
Other names
Loganville Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A. DELP JR. D.O. (PHYSICIAN/OWNER/OFFICER)
(770) 466-8672
Entity
Organization
Contact information
Practice address
4589 LAWRENCEVILLE RD, LOGANVILLE, GA 30052-7320
(770) 466-8672
(770) 466-2082
Mailing address
4589 LAWRENCEVILLE RD, LOGANVILLE, GA 30052-7320
(770) 466-8672
(770) 466-2082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235941
BLUE CROSS BLUE SHEILD
GA
01
—
406081340
RAILROAD MEDICARE
GA
01
—
GRP692
MEDICARE GROUP
GA
Enumeration date
01/31/2008
Last updated
01/31/2008
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